NPI | 1174957872 |
---|---|
Former Name | SARAH WEITZEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: HI MHC-638) |
Additional Taxonomies | 103K00000X Behavior Analyst |
Enumeration Date | 2013-08-29 |
Last Update Date | 2022-03-23 |